单孔两通道腹腔镜下输尿管切开取石术临床应用(附11例报告)

来源 :2013年广东省医学会泌尿外科学学术年会 | 被引量 : 0次 | 上传用户:hxl5201314888
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目的:探讨单孔两通道腹腔镜下输尿管切开取石术的临床应用价值.方法:采用无菌手套自制单孔通道防止漏气,在拇指和小指套末端戳孔并用丝线结扎固定10mm和5mm的Trocar各一个,利用普通腹腔镜器械及超声刀操作.气管插管麻醉后,取健侧卧位经腹膜后途径,对1 1例输尿管上段结石患者行输尿管切开取石术.其中男8例,女3例;年龄23~41岁,平均32.6岁;结石直径18~23mm.11例患者术前均经B超、静脉肾盂造影或CT诊断明确,其中5例术前曾行体外冲击波碎石治疗,2例行输尿管镜碎石术.
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